Coca Aida Hadjipentchev in Phoenix - Assisted Living Facility

Coca Aida Hadjipentchev - NPI 1922271485

Coca Aida Hadjipentchev is a Assisted Living Facility in Phoenix, Arizona. Coca Aida Hadjipentchev practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Coca Aida Hadjipentchev is 1922271485. The last update date is 2008-04-04.

Coca Aida Hadjipentchev's current location address is 1020 W Pontiac Dr, Phoenix, Arizona. You can contact this provider via phone number 6237488108 and fax number 6234667753. The mailing address for Coca Aida Hadjipentchev is 1020 W Pontiac Dr, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Coca Aida Hadjipentchev
Address 1020 W Pontiac Dr, Phoenix, Arizona
Phone Number 6237488108
Fax Number 6234667753
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1922271485
Provider Enumeration Date 2008-04-04
Last Updated Date 2008-04-04

Provider Mailing Address Detail

Address 1020 W Pontiac Dr
City Phoenix
State Arizona (AZ)
Post Code 850275713
Phone Number 6237488108
Fax Number 6234667753

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No ALH-5691
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
82984 AZ AHCCCS PROVIDER ID

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FAQs about Coca Aida Hadjipentchev

What is the unique provider identifier assigned to Coca Aida Hadjipentchev?

The Coca Aida Hadjipentchev has been issued the NPI (National Provider Identifier) 1922271485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Coca Aida Hadjipentchev located?

The Coca Aida Hadjipentchev is located at 1020 W Pontiac Dr, Phoenix, AZ 850275713.

What is Coca Aida Hadjipentchev's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Coca Aida Hadjipentchev is Assisted Living Facility, and the taxonomy classification code that categorizes this area of expertise is 310400000X.

On what date was the 1922271485 assigned to Coca Aida Hadjipentchev?

The Coca Aida Hadjipentchev was issued its 1922271485 on 2008-04-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Coca Aida Hadjipentchev, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Coca Aida Hadjipentchev, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-04.

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